Individual
MS. LATRIS D POINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11376 NORBORNE, REDFORD, MI 48239-2154
(313) 682-7973
Mailing address
11376 NORBORNE, REDFORD, MI 48239-2154
(313) 682-7973
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS820297879
MI
385HR2050X
Respite Care Camp
AS820297879
MI
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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